States Face $1.5B Tax Penalty Over Medicaid Opt-Out: Report

Law360, New York (January 23, 2014, 2:57 PM EST) -- Large employers located in states that have not yet expanded Medicaid coverage as part of the Affordable Care Act could face combined annual tax penalties of between $1.03 billion and $1.55 billion, according to a report released Wednesday by Jackson Hewitt Tax Service Inc.

The findings are intended to shed a light on the potential net costs for states that do not choose to expand Medicaid. Large employers located in states that have elected not to expand Medicare coverage may be subject to ACA tax penalties,...
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